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The Evaluation of Distributed Topic Modeling Paradigms for Detection Of Fraudulent Insurance Claims In Healthcare Forum

Authors :
Subbarayudu Yerragudipadu
Vijendar Reddy Gurram
Sandhya Meesala
Bhargavi Jammi
Abhilash P.K.
Pushkarna Gaurav
Source :
MATEC Web of Conferences, Vol 392, p 01111 (2024)
Publication Year :
2024
Publisher :
EDP Sciences, 2024.

Abstract

Healthcare fraud is the deliberate misrepresentation of the healthcare industry for the purpose of obtaining unjustified financial gain. There are many different types of healthcare fraud, which can influence patients, healthcare professionals, insurers, and government programmes, such as Billing Fraud, Kickbacks and Bribes, Prescription Fraud, False Claims, Provider Licensing Fraud etc...Healthcare insurance fraud is a severe problem that has an impact on everyone's access to affordable healthcare. Topic modelling can play a role in addressing healthcare insurance fraud by assisting in the detection, analysis, and prevention of fraudulent activities. Overall, the public benefits from healthcare insurance fraud detection because it supports equitable, open, and effective healthcare systems.

Details

Language :
English, French
ISSN :
2261236X
Volume :
392
Database :
Directory of Open Access Journals
Journal :
MATEC Web of Conferences
Publication Type :
Academic Journal
Accession number :
edsdoj.3c50f09e3a314b00be024d2d01317d1e
Document Type :
article
Full Text :
https://doi.org/10.1051/matecconf/202439201111